螺旋CT诊断喉癌及喉咽癌颈部淋日结转移中的应用价值分析  

Application value of spiral CT in the diagnosis of laryngeal carcinoma and cervical lymph node metastasis

作　　者：夏文芳 毕景华 Xia Wenfang;BI Jinghua(Dezhou Traditional Chinese Medicine Hospital,Dezhou,Shandong,253000,China)

机构地区：[1]德州市中医院,山东德州253000

出　　处：《中国医学文摘（耳鼻咽喉科学）》2024年第6期40-42,共3页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：目的评价螺旋CT在喉癌、喉咽癌颈部淋巴结转移中的诊断价值,为疾病临床诊断工作提供参考。方法研究时段为2021年3月-2022年3月,述选该时段内本院收治的63例喉癌患者,全部患者均实施常规超声、多层螺旋CT检查,将病理诊断结果作为金标准,统计两种诊断方式的淋巴结转移情况、准确性、特异度、灵敏度,同时分析患者分期情况。结果病理结果显示,63例患者颈部淋巴结转移患者有19例,占比是30.16%,未转移者44例,占比是69.84%;常规超声检查结果显示颈部淋巴结转移患者有15例,占比是23.81%,未转移者48例,占比是76.19%;多层螺旋CT结果显示颈部淋巴结转移患者有20例,占比是31.75%,未转移者43例,占比是68.23%;多层螺旋CT检查准确性、特异度、灵敏度均明显高于常规超声检查,差异具有统计学价值(P<0.05);多层螺旋CT分期结果与术后病理结果比较未发现统计学价值(P>0.05)。结论通过对喉癌患者实施螺旋CT检查,可有效诊断患者是否存在颈部淋巴结转移情况,同时还可明确术前分期情况,具有较高的检出准确性、灵敏度等,可为临床手术治疗与术后康复方案的制定提供指导。Objective To evaluate the diagnostic value of spiral CT in cervical lymph node metastasis of laryngeal and laryngeal cancer,and to provide reference for the clinical diagnosis of the disease.Methods The study period was from March 2021 to March 2010,and 63 patients with laryngeal cancer admitted to our hospital during this period were selected.All patients underwent routine ultrasonography and multi-slice spiral CT examination.Pathological diagnosis results were taken as the gold standard,and lymph node metastasis,accuracy,specificity and sensitivity of the two diagnostic methods were analyzed.Results Pathological results showed that there were 19 patients with cervical lymph node metastasis among 63 patients,accounting for 30.16%,and 44 cases without metastasis,accounting for 69.84%.Routine ultrasonic examination results showed that 15 patients with cervical lymph node metastasis,accounting for 23.81%,and 48 patients without metastasis,accounting for 76.19%.The results of multi-slice spiral CT showed that there were 20 patients with cervical lymph node metastasis,accounting for 31.75%,and 43 patients without metastasis,accounting for 68.23%.The accuracy,specificity and sensitivity of multislice spiral CT were significantly higher than those of conventional ultrasonography,and the differences were statistically significant(P<0.05).There was no statistical value between the staging results of multi-slice spiral CT and the postoperative pathological results(P>0.05).Conclusion Spiral CT examination for laryngeal cancer patients can effectively diagnose whether there is cervical lymph node metastasis in patients,and also can determine the preoperative staging,with high detection accuracy and sensitivity,which can provide guidance for clinical surgical treatment and postoperative rehabilitation program formulation.

关 键 词：螺旋CT 喉癌 喉咽癌 颈部淋巴结转移 应用价值 

分 类 号：R73[医药卫生—肿瘤]